Keyhole Surgery · Lumbar spine

Endoscopic Lumbar Discectomy

Removal of a prolapsed lumbar disc through a sub-centimetre incision. Same-day discharge, faster recovery, less tissue trauma than open surgery.

Endoscopic Lumbar Discectomy — keyhole procedure

What the procedure is

Through a single incision smaller than a fingernail, Mr. Rath inserts a thin tube housing a high-resolution camera and surgical instruments. The prolapsed fragment of disc is removed precisely, with no need to cut through back muscles.

On the day

You'll arrive at the hospital in the morning, complete pre-operative checks, and be in theatre within an hour. The procedure itself takes 45–90 minutes under general or spinal anaesthetic.

After a short period in recovery, you'll be checked by Mr. Rath, given pain medication and discharge instructions, and most patients walk out the same day.

Why Mr. Rath's approach

Endoscopic surgery is technically demanding — recovery, complication rates, and long-term outcomes all correlate strongly with surgeon experience. Mr. Rath is one of the leading endoscopic spinal surgeons in the UK and the North West, and brings consistent, high-volume practice to every procedure.

Risks and considerations

All surgery carries risk. For endoscopic discectomy these include:

  • Recurrent disc prolapse (around 1 in 10 over 5 years)
  • Persistent pain (a small percentage may not improve)
  • Infection (very rare with keyhole technique)
  • Dural tear (uncommon, almost always managed intra-operatively)

Mr. Rath will discuss these in detail at your consultation.

Recovery timeline

  1. Day of surgery · Same day discharge

    Most patients are home within hours, walking comfortably.

  2. Week 1 · 7 days

    Light walking. No heavy lifting. Stitches dissolve on their own.

  3. Week 2-4 · 21 days

    Return to office work and light driving. Physiotherapy begins around week 4 to rebuild strength and core conditioning.

  4. Week 6 · 6 weeks

    Phase-wise return to pre-symptom activity guided by Mr. Rath at the 6-week review.

Frequently asked
How is endoscopic discectomy different from open surgery?

Endoscopic surgery uses a thin tube and camera through an 8mm incision — no muscle cutting. Open surgery uses a larger incision and disrupts the muscle.

What's the success rate?

In Mr. Rath's hands, around 95% of patients experience significant pain relief. Outcomes depend on patient selection and disc characteristics.

Take the next step

Discuss this treatment with Mr. Rath.

Online and in-clinic consultations available across the North West.

Book Appointment